Individual
ROBERT BERNSKOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 KEENE ST, SUITE 103, COLUMBIA, MO 65201-8104
(573) 874-2030
Mailing address
500 KEENE ST, SUITE 103, COLUMBIA, MO 65201-8104
(573) 874-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03286
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270770001
NORIDIAN-DMERC
MO
01
—
109100
BCBS
MO
Enumeration date
03/24/2006
Last updated
10/31/2007
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